| NPI | 1972586139 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OH 3589360D) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MI 060916) |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2013-09-24 |